Parental self-efficacy and the management of childhood atopic eczema: development and testing of a new clinical outcome measure
Summary Background Effective parental management of childhood eczema requires education and support to reduce disease severity and improve the child's quality of life. Self‐efficacy is a key factor influencing effective chronic disease management, yet there are no published scales to measure pa...
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Published in | British journal of dermatology (1951) Vol. 173; no. 6; pp. 1479 - 1485 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Blackwell Publishing Ltd
01.12.2015
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Subjects | |
Online Access | Get full text |
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Summary: | Summary
Background
Effective parental management of childhood eczema requires education and support to reduce disease severity and improve the child's quality of life. Self‐efficacy is a key factor influencing effective chronic disease management, yet there are no published scales to measure parental self‐efficacy in managing childhood eczema. The Parental Self‐Efficacy with Eczema Care Index (PASECI) was designed to measure parental self‐efficacy in managing childhood eczema as a pre‐ and postintervention tool in the evaluation of a structured Eczema Education Programme (EEP).
Objectives
To develop and test the validity, reliability and sensitivity of a new outcome measure (PASECI) designed to assess parental self‐efficacy in managing their child's eczema to determine pre‐ vs. postintervention changes in educational intervention evaluation studies.
Methods
PASECI was developed from the literature, expert consultation and piloting of a 40‐item prototype. The final 29‐item scale is arranged in four subscales. Parents of children with eczema aged 0–16 years (n = 242) attending the EEP were assessed at 1 week pre‐EEP and 4 weeks postintervention. Cronbach's α and factor analyses were undertaken.
Results
PASECI has face, content and construct validity. It is reliable, with high item internal consistency (α > 0·87 in all domains). Factor analysis revealed four viable domains. It was sensitive to change for postintervention measures using sign tests (P < 0·001).
Conclusions
PASECI is a useful, valid, reliable and sensitive evaluative outcome measure of self‐efficacy in parents managing childhood eczema.
What's already known about this topic?
Effective child eczema management requires systematic parental education.
Parental self‐efficacy in eczema care is a factor influencing the effectiveness of parental eczema care, yet there are no measures of it.
What does this study add?
The Parental Self‐Efficacy with Eczema Care Index (PASECI) is a valid, reliable and sensitive measure.
PASECI is a useful scale to evaluate the effectiveness of eczema education interventions.
Plain language summary available online |
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Bibliography: | Appendix S1. Parental Self-Efficacy with Eczema Care Index prototype: 40-item ('V7') scale. ArticleID:BJD14175 ark:/67375/WNG-63D6NK3Z-P istex:101C0D712A6C9C1BF3476FBA42880167F27A605F Guy's and St Thomas' Charity, U.K. available online ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0007-0963 1365-2133 |
DOI: | 10.1111/bjd.14175 |